CMV

Etiology

  • Virus

Symptoms

  • Retinitis/colitis/disseminated dz in patients w/HIV
  • Systemic infection in patients 1-4m s/p transplant;
  • Normal hosts get mono, just like EBV: incubation 3-8 w, then f, c, malaise, myalgias, arthralgias
  • Sometimes RUQ discomfort
  • Fatigue can last x 4-6+w after acute infection
  • Assoc w/Guillain-Barre, mononeuritis multiplex and peripheral neuropathy

Physical Exam Findings

  • Hepatomegaly
  • Splenomegaly
  • Head/neck adenopathy & pharyngitis relatively uncommon (c/w EBV)

Links